Construction Safety Risk Mitigation Assessment Form
Assess construction site hazards, control measures, residual risk, and follow-up actions using a clear, professional form.
Site and Assessment Details
Project/Site Name
*
Site Location
*
Assessment Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Assessor Name
*
Assessment Type / Work Phase
*
Please Select
Pre-start
Active work
Post-incident
Routine inspection
Other
Risk Identification and Controls
Main Hazards Identified
*
Working at Height
Excavation
Lifting Operations
Plant/Machinery
Electrical Exposure
Manual Handling
Slips/Trips/Falls
Confined Spaces
Hot Works
Weather Exposure
Other
Risk Rating
*
Low
1
2
3
4
5
6
7
8
9
High
10
1 is Low, 10 is High
Control Effectiveness
*
Poor
1
2
3
4
5
6
7
8
9
Excellent
10
1 is Poor, 10 is Excellent
Hazard Control and Residual Risk Assessment
*
Rows
Current Controls Adequate
Residual Risk Acceptable
Further Action Required
Working at Height
1
2
3
Excavation
4
5
6
Lifting Operations
7
8
9
Plant/Machinery
10
11
12
Electrical Exposure
13
14
15
Manual Handling
16
17
18
Slips/Trips/Falls
19
20
21
Confined Spaces
22
23
24
Hot Works
25
26
27
Weather Exposure
28
29
30
Mitigation Actions and Follow-up
Corrective actions required
*
Priority level
*
Low
Medium
High
Target completion date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Responsible person or team
*
Overall mitigation status
*
Adequate
Needs improvement
Urgent action required
Additional notes
Submit Assessment
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